MEDICARE: JACOB CHARLES HOFFMANN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	35.1355548	OH
2	207X00000X	Orthopaedic Surgery Physician	36194	MS
3	207XS0117X	Orthopaedic Surgery of the Spine Physician	36194	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144647603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB CHARLES HOFFMANN MD

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE # S40
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:	216-444-9580
Fax Number	:	216-636-2607

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # S40
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1521
Country	:	US
Telephone Number	:	216-444-9580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2014
Last Update Date	:	11/24/2025

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